U.S. patent number 10,660,574 [Application Number 15/452,865] was granted by the patent office on 2020-05-26 for low cost planar spring for force sensor.
This patent grant is currently assigned to Biosense Webster (Israel) Ltd.. The grantee listed for this patent is BIOSENSE WEBSTER (ISRAEL) LTD.. Invention is credited to Yehuda Algawi, Christopher Thomas Beeckler, Assaf Govari, Joseph Thomas Keyes, Ilya Sitnitsky.
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United States Patent |
10,660,574 |
Govari , et al. |
May 26, 2020 |
Low cost planar spring for force sensor
Abstract
A flexible probe has an assembly in its distal end that includes
a transmitter and a receiver that receives signals from the
transmitter for sensing a position of the receiver relative to the
transmitter. A pair of flat spring coils disposed between the
transmitter and the receiver deform in response to pressure exerted
on the distal tip when the distal tip engages a wall of a body
cavity.
Inventors: |
Govari; Assaf (Haifa,
IL), Beeckler; Christopher Thomas (Brea, CA),
Algawi; Yehuda (Binyamina, IL), Sitnitsky; Ilya
(Nahariya, IL), Keyes; Joseph Thomas (Glendora,
CA) |
Applicant: |
Name |
City |
State |
Country |
Type |
BIOSENSE WEBSTER (ISRAEL) LTD. |
Yokneam |
N/A |
IL |
|
|
Assignee: |
Biosense Webster (Israel) Ltd.
(Yokneam, IL)
|
Family
ID: |
63077601 |
Appl.
No.: |
15/452,865 |
Filed: |
March 8, 2017 |
Prior Publication Data
|
|
|
|
Document
Identifier |
Publication Date |
|
US 20180256110 A1 |
Sep 13, 2018 |
|
Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61B
5/107 (20130101); A61B 5/742 (20130101); A61B
5/062 (20130101); A61B 5/6885 (20130101); A61B
5/065 (20130101); A61B 90/06 (20160201); A61B
18/1492 (20130101); A61B 2018/00351 (20130101); A61B
2018/00791 (20130101); A61B 2090/065 (20160201); A61B
5/6852 (20130101); A61B 2018/00577 (20130101) |
Current International
Class: |
A61B
5/00 (20060101); A61B 5/107 (20060101); A61B
5/06 (20060101); A61B 90/00 (20160101); A61B
18/00 (20060101); A61B 18/14 (20060101) |
Field of
Search: |
;324/206,207.11-207.26,754.01-754.21,230,242,243,239 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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205041520 |
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Feb 2016 |
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CN |
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205041520 |
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Feb 2016 |
|
CN |
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WO 96/05768 |
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Feb 1996 |
|
WO |
|
Other References
Machine Translation of CN 205041520 U (Year: 2016). cited by
examiner .
Internet Archive, ASBG.com, "Flat Spiral Springs, Power Springs
& Constant Force Springs" Feb. 11, 2016. Retrieved from
<https://web.archive.org/web/20160211190718/https://www.asbg.com/produ-
cts/springs-overview/flat-spiral-springs-power-springs.aspx>
(Year: 2016). cited by examiner .
St. Mary Spring, "Flat Wire Springs--Reasons for their Popularity"
stmaryspring.com, Jan. 20, 2016. Retrieved from
<http://www.stmarysspring.com/blog/flat-wire-springs-reasons-for-their-
-popularity/> (Year: 2016). cited by examiner .
Radial. (2016). In Editors of the American Heritage Dictionaries
(Ed.), The American Heritage (R) dictionary of the English language
(6th ed.). Boston, MA: Houghton Mifflin. Retrieved from
https://search.credoreference.com/content/entry/hmdictenglang/radial/0?in-
stitutionId=743 (Year: 2016). cited by examiner .
Radial. (2015). In C. Schwarz, The Chambers Dictionary (13th ed.).
London, UK: Chambers Harrap. Retrieved from
https://search.credoreference.com/content/entry/chambdict/radial/0?instit-
utionId=743 (Year: 2015). cited by examiner .
Pending U.S. Appl. No. 14/974,731, filed Dec. 18, 2015. cited by
applicant .
Pending U.S. Appl. No. 15/347,242, filed Nov. 9, 2016. cited by
applicant .
Ataollahi, Asghar et al., "Novel Force Sensing Approach Employing
Prismatic-Tip Optical Fiber Inside an Orthoplanar Spring
Structure", IEEE/ASME Tranactions on Mechatronics, Feb. 2014, pp.
121-130, vol. 19 No. 1. cited by applicant .
European Search Report dated Jun. 28, 2018 from corresponding
European Patent Application No. 18160408.3. cited by applicant
.
European Search Report for corresponding EPA No. 19189057.3 dated
Oct. 18, 2019. cited by applicant.
|
Primary Examiner: McCrosky; David J.
Claims
The invention claimed is:
1. An apparatus, comprising: a flexible probe having a proximal
portion, a distal end and defining a longitudinal axis, the probe
adapted for insertion into a body cavity of a living subject, the
probe having a distal tip at the distal end of the probe; and a
contact force sensor in the distal end of the probe, comprising: a
transmitter; a receiver receiving signals from the transmitter for
sensing a position of the receiver relative to the transmitter; and
an assembly disposed between the transmitter and the receiver, the
assembly including first and second flat spring coils each having a
generally ring shape with an internal edge and an external edge, a
spacer positioned between the first and second flat spring coils
configured to maintain the first and second flat spring coils
apart, the spacer mating with the internal edges of the first and
second flat spring coils, a transmitter retainer attached to the
transmitter and mating with the external edge of the first flat
spring coil, and a receiver retainer attached to the receiver and
mating with the external edge of the second flat spring coil,
wherein the diameter of the first and second flat spring coils
change when under deformation thereby changing the distance between
the transmitter and the receiver.
2. The apparatus according to claim 1, wherein the transmitter and
the receiver comprise planar printed circuit boards.
3. The apparatus according to claim 2, wherein a magnetically
permeable material is placed on top of each of the planar printed
circuit boards.
4. The apparatus according to claim 3, wherein the material
comprises at least one plate of mu-metal on each of the planar
printed circuit boards.
5. The apparatus according to claim 1, wherein the contact force
sensor, the transmitter and the receiver comprise an integral
subassembly.
6. The apparatus according to claim 1, wherein the receiver
comprises three receiving coils.
7. The apparatus according to claim 1, wherein the transmitter
comprises three transmitting coils.
8. The apparatus according to claim 7, wherein the three
transmitting coils are connected in series and powered by exactly
one generator.
9. The apparatus according to claim 7, wherein the three
transmitting coils are powered by respective generators at
different frequencies.
10. A method, comprising the steps of: providing a flexible probe
having a proximal portion, a distal end and defining a longitudinal
axis, the probe adapted for insertion into a body cavity of a
living subject, the probe having a distal tip at the distal end of
the probe, a contact force sensor in the distal end of the probe,
the contact force sensor comprising: a transmitter; a receiver; and
an assembly disposed between the transmitter and the receiver, the
assembly including first and second flat spring coils each having a
generally ring shape with an internal edge and an external edge, a
spacer positioned between the first and second flat spring coils
configured to maintain the first and second flat spring coils
apart, the spacer mating with the internal edges of the first and
second flat spring coils, a transmitter retainer attached to the
transmitter and matting with the external edge of the first flat
spring coil, and a receiver retainer attached to the receiver and
mating with the external edge of the second flat spring coil,
wherein the diameter of the first and second flat spring coils
change when under deformation thereby changing the distance between
the transmitter and the receiver; deforming the first and second
flat spring coils by exerting pressure on the distal tip when the
distal tip engages a wall of the body cavity; while deforming the
resilient element: emitting signals from the transmitter; receiving
the signals in the receiver and processing the signals to determine
a position of the receiver relative to the transmitter.
11. The method according to claim 10, wherein the transmitter and
the receiver comprise planar printed circuit boards.
12. The method according to claim 11, wherein a material having
high magnetic permeability is placed on top of each of the planar
printed circuit boards.
13. The method according to claim 12, wherein the material
comprises at least one plate of mu-metal on each of the planar
printed circuit boards.
14. The method according to claim 10, wherein the contact force
sensor, the transmitter and the receiver comprise an integral
subassembly.
15. The method according to claim 10, wherein the receiver
comprises three receiving coils.
16. The method according to claim 10, wherein the transmitter
comprises three transmitting coils.
17. The method according to claim 16, wherein the three
transmitting coils are connected in series and powered by exactly
one generator.
18. The method according to claim 16, wherein the three
transmitting coils are powered by respective generators at
different frequencies.
19. The method according to claim 10, further comprising measuring
a distance between the transmitter and the receiver according to an
amplitude of the signals in the receiver.
Description
COPYRIGHT NOTICE
A portion of the disclosure of this patent document contains
material that is subject to copyright protection. The copyright
owner has no objection to the facsimile reproduction by anyone of
the patent document or the patent disclosure, as it appears in the
Patent and Trademark Office patent file or records, but otherwise
reserves all copyright rights whatsoever.
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates to instruments for diagnostic and surgical
purposes. More particularly, this invention relates to measurements
of force, pressure or mechanical tension or compression using
catheters for diagnostic and surgical procedures in the heart.
2. Description of the Related Art
Cardiac arrhythmias, such as atrial fibrillation, occur when
regions of cardiac tissue abnormally conduct electric signals to
adjacent tissue, thereby disrupting the normal cardiac cycle and
causing asynchronous rhythm.
Procedures for treating arrhythmia include surgically disrupting
the origin of the signals causing the arrhythmia, as well as
disrupting the conducting pathway for such signals. By selectively
ablating cardiac tissue by application of energy via a catheter, it
is sometimes possible to block or modify the propagation of
unwanted electrical signals from one portion of the heart to
another. The ablation process destroys the unwanted electrical
pathways by formation of non-conducting lesions.
Verification of physical electrode contact with the target tissue
is important for controlling the delivery of ablation energy.
Attempts in the art to verify electrode contact with the tissue
have been extensive, and various techniques have been suggested.
For example, U.S. Pat. No. 6,695,808 describes apparatus for
treating a selected patient tissue or organ region. A probe has a
contact surface that may be urged against the region, thereby
creating contact pressure. A pressure transducer measures the
contact pressure. This arrangement is said to meet the needs of
procedures in which a medical instrument must be placed in firm but
not excessive contact with an anatomical surface, by providing
information to the user of the instrument that is indicative of the
existence and magnitude of the contact force.
As another example, U.S. U.S. Pat. No. 6,241,724 describes methods
for creating lesions in body tissue using segmented electrode
assemblies. In one embodiment, an electrode assembly on a catheter
carries pressure transducers, which sense contact with tissue and
convey signals to a pressure contact module. The module identifies
the electrode elements that are associated with the pressure
transducer signals and directs an energy generator to convey RF
energy to these elements, and not to other elements that are in
contact only with blood.
A further example is presented in U.S. Pat. No. 6,915,149. This
patent describes a method for mapping a heart using a catheter
having a tip electrode for measuring local electrical activity. In
order to avoid artifacts that may arise from poor tip contact with
the tissue, the contact pressure between the tip and the tissue is
measured using a pressure sensor to ensure stable contact.
U.S. Patent Application Publication 2007/0100332 describes systems
and methods for assessing electrode-tissue contact for tissue
ablation. An electromechanical sensor within the catheter shaft
generates electrical signals corresponding to the amount of
movement of the electrode within a distal portion of the catheter
shaft. An output device receives the electrical signals for
assessing a level of contact between the electrode and a
tissue.
Commonly assigned U.S. Patent Application Publication No.
2009/0093806 to Govari et al., which is herein incorporated by
reference, describes another application of contact pressure
measurement, in which deformation in response to pressure on a
resilient member located at the distal end of a catheter is
measured using a sensor.
SUMMARY OF THE INVENTION
There is provided according to embodiments of the invention a
flexible probe adapted for insertion into a body cavity of a living
subject. The probe has a contact force sensor in its distal end,
including a transmitter, a receiver receiving signals from the
transmitter for sensing a position of the receiver relative to the
transmitter. A resilient element disposed between the transmitter
and the receiver is configured to deform in response to pressure
exerted on the distal tip when the distal tip engages a wall of the
body cavity. The resilient element is a pair of flat spring
coils.
According to one aspect of the apparatus, the contact force sensor
includes a spacer between the pair of flat spring coils, and two
retainers at opposite ends of the contact force sensor in contact
with the flat spring coils, respectively.
According to one aspect of the apparatus, the contact force sensor
includes a deformable joint between the proximal portion and the
distal end of the probe.
According to another aspect of the apparatus, the transmitter and
the receiver comprise planar printed circuit boards.
According to yet another aspect of the apparatus, a magnetically
permeable material is placed on top of each of the planar printed
circuit boards.
According to a further aspect of the apparatus, the material
includes at least one plate of mu-metal on each of the planar
printed circuit boards.
According to an additional aspect of the apparatus, the contact
force sensor, the transmitter and the receiver comprise an integral
subassembly.
According to another aspect of the apparatus, the receiver includes
three receiving coils.
According to an additional aspect of the apparatus, the transmitter
includes three transmitting coils.
According to still another aspect of the apparatus, the three
transmitting coils are connected in series and powered by exactly
one generator.
According to yet another aspect of the apparatus, the three
transmitting coils are powered by respective generators at
different frequencies.
According to a further aspect of the apparatus, the contact force
sensor, the transmitter and the receiver comprise an integral
subassembly.
There is further provided according to embodiments of the invention
a method, which is carried out by providing a flexible that is
adapted for insertion into a body cavity of a living subject. The
probe has contact force sensor in its distal end. The contact force
sensor includes a transmitter, a receiver, and a resilient element
disposed between the transmitter and the receiver. The resilient
element is a pair of flat spring coils. The method is further
carried out by deforming the resilient element by exerting pressure
on the distal tip when the distal tip engages a wall of the body
cavity, and while deforming the resilient element emitting signals
from the transmitter, receiving the signals in the receiver and
processing the signals to determine a position of the receiver
relative to the transmitter.
According to an aspect of the method the distance between the
transmitter and the receiver is measured according to an amplitude
of the signals in the receiver.
BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS
For a better understanding of the present invention, reference is
made to the detailed description of the invention, by way of
example, which is to be read in conjunction with the following
drawings, wherein like elements are given like reference numerals,
and wherein:
FIG. 1 is a pictorial illustration of a system for evaluating
electrical activity in a heart of a living subject in accordance
with an embodiment of the invention;
FIG. 2 is a partially cut-away view of distal portion of a catheter
in accordance with an embodiment of the invention;
FIG. 3 is a subassembly suitable for use in the catheter shown in
FIG. 3 in accordance with an embodiment of the invention;
FIG. 4 is an elevation of the distal portion of a cardiac catheter
in accordance with an embodiment of the invention;
FIG. 5 is a magnified elevation of an assembly in the distal
portion of a cardiac catheter in accordance with an alternate
embodiment of the invention;
FIG. 6 is a schematic sectional view of the distal end of a
catheter in accordance with an alternate embodiment of the
invention;
FIG. 7 is an exploded view of the assembly shown in FIG. 6 in
slight perspective in accordance with an embodiment of the
invention;
FIG. 8, which is top view of a planar assembly of a contact force
sensor with integrated location coils in accordance with an
embodiment of the invention;
FIG. 9, which is an oblique view of a spring assembly in accordance
with an embodiment of the invention; and
FIG. 10 is a side elevation of the assembly shown in in FIG. 9 in
accordance with an embodiment of the invention.
DETAILED DESCRIPTION OF THE INVENTION
In the following description, numerous specific details are set
forth in order to provide a thorough understanding of the various
principles of the present invention. It will be apparent to one
skilled in the art, however, that not all these details are
necessarily needed for practicing the present invention. In this
instance, well-known circuits, control logic, and the details of
computer program instructions for conventional algorithms and
processes have not been shown in detail in order not to obscure the
general concepts unnecessarily.
Documents incorporated by reference herein are to be considered an
integral part of the application except that, to the extent that
any terms are defined in these incorporated documents in a manner
that conflicts with definitions made explicitly or implicitly in
the present specification, only the definitions in the present
specification should be considered.
System Overview.
Turning now to the drawings, reference is initially made to FIG. 1,
which is a pictorial illustration of a system 10 for evaluating
electrical activity and performing ablative procedures on a heart
12 of a living subject, which is constructed and operative in
accordance with a disclosed embodiment of the invention. The system
comprises a catheter 14, which is percutaneously inserted by an
operator 16 through the patient's vascular system into a chamber or
vascular structure of the heart 12. The operator 16, who is
typically a physician, brings the catheter's distal tip 18 into
contact with the heart wall, for example, at an ablation target
site. Electrical activation maps may be prepared, according to the
methods disclosed in U.S. Pat. Nos. 6,226,542, and 6,301,496, and
in commonly assigned U.S. Pat. No. 6,892,091, whose disclosures are
herein incorporated by reference. One commercial product embodying
elements of the system 10 is available as the CARTO.RTM. 3 System,
available from Biosense Webster, Inc., 3333 Diamond Canyon Road,
Diamond Bar, Calif. 91765. This system may be modified by those
skilled in the art to embody the principles of the invention
described herein.
Areas determined to be abnormal, for example by evaluation of the
electrical activation maps, can be ablated by application of
thermal energy, e.g., by passage of radiofrequency electrical
current through wires in the catheter to one or more electrodes at
the distal tip 18, which apply the radiofrequency energy to the
myocardium. The energy is absorbed in the tissue, heating it to a
point (typically above 50.degree. C.) at which it permanently loses
its electrical excitability. When successful, this procedure
creates non-conducting lesions in the cardiac tissue, which disrupt
the abnormal electrical pathway causing the arrhythmia. The
principles of the invention can be applied to different heart
chambers to diagnose and treat many different cardiac
arrhythmias.
The catheter 14 typically comprises a handle 20, having suitable
controls on the handle to enable the operator 16 to steer, position
and orient the distal end of the catheter as desired for the
ablation. To aid the operator 16, the distal portion of the
catheter 14 contains position sensors (not shown) that provide
signals to a processor 22, located in a console 24. The processor
22 may fulfill several processing functions as described below.
Ablation energy and electrical signals can be conveyed to and from
the heart 12 through one or more ablation electrodes 32 located at
or near the distal tip 18 via cable 34 to the console 24. Pacing
signals and other control signals may be conveyed from the console
24 through the cable 34 and the electrodes 32 to the heart 12.
Sensing electrodes 33, also connected to the console 24 are
disposed between the ablation electrodes 32 and have connections to
the cable 34.
Wire connections 35 link the console 24 with body surface
electrodes 30 and other components of a positioning sub-system for
measuring location and orientation coordinates of the catheter 14.
The processor 22 or another processor (not shown) may be an element
of the positioning subsystem. The electrodes 32 and the body
surface electrodes 30 may be used to measure tissue impedance at
the ablation site as taught in U.S. Pat. No. 7,536,218, issued to
Govari et al., which is herein incorporated by reference. A
temperature sensor (not shown), typically a thermocouple or
thermistor, may be mounted on or near each of the electrodes
32.
The console 24 typically contains one or more ablation power
generators 25. The catheter 14 may be adapted to conduct ablative
energy to the heart using any known ablation technique, e.g.,
radiofrequency energy, ultrasound energy, cryogenic energy, and
laser-produced light energy. Such methods are disclosed in commonly
assigned U.S. Pat. Nos. 6,814,733, 6,997,924, and 7,156,816, which
are herein incorporated by reference.
In one embodiment, the positioning subsystem comprises a magnetic
position tracking arrangement that determines the position and
orientation of the catheter 14 by generating magnetic fields in a
predefined working volume and sensing these fields at the catheter,
using field generating coils 28. The positioning subsystem is
described in U.S. Pat. No. 7,756,576, which is hereby incorporated
by reference, and in the above-noted U.S. Pat. No. 7,536,218.
As noted above, the catheter 14 is coupled to the console 24, which
enables the operator 16 to observe and regulate the functions of
the catheter 14. Console 24 includes a processor, preferably a
computer with appropriate signal processing circuits. The processor
is coupled to drive a monitor 29. The signal processing circuits
typically receive, amplify, filter and digitize signals from the
catheter 14, including signals generated by sensors such as
electrical, temperature and contact force sensors, and a plurality
of location sensing electrodes (not shown) located distally in the
catheter 14. The digitized signals are received and used by the
console 24 and the positioning system to compute the position and
orientation of the catheter 14, and to analyze the electrical
signals from the electrodes.
In order to generate electroanatomic maps, the processor 22
typically comprises an electroanatomic map generator, an image
registration program, an image or data analysis program and a
graphical user interface configured to present graphical
information on the monitor 29.
Typically, the system 10 includes other elements, which are not
shown in the figures for the sake of simplicity. For example, the
system 10 may include an electrocardiogram (ECG) monitor, coupled
to receive signals from one or more body surface electrodes, in
order to provide an ECG synchronization signal to the console 24.
As mentioned above, the system 10 typically also includes a
reference position sensor, either on an externally applied
reference patch attached to the exterior of the subject's body, or
on an internally placed catheter, which is inserted into the heart
12 maintained in a fixed position relative to the heart 12.
Conventional pumps and lines for circulating liquids through the
catheter 14 for cooling the ablation site are provided. The system
10 may receive image data from an external imaging modality, such
as an MRI unit or the like and includes image processors that can
be incorporated in or invoked by the processor 22 for generating
and displaying images.
First Embodiment
Reference is now made to FIG. 2 and to FIG. 3, which are
respectively a partially cut-away view of distal portion 41 of a
catheter and a schematic, partially exploded view an assembly 109
in the distal portion 41 in accordance with embodiments of the
invention. As shown in FIG. 2, the distal portion 41 has an
ablation electrode 43. A temperature sensor 57 may be present in
the distal portion 41 to monitor temperatures at the ablation site.
A deformable joint having a flexible spring, helix 63, is a tubular
piece of an elastic material having a plurality of intertwined
helical cuts therethrough along a portion of a length of the piece,
which contracts and expands along axis of symmetry 51 as the
contact force between the catheter and tissue varies.
Contact force sensor 53, which includes the deformable joint
including helix 63, is disposed in the distal portion proximal to
the ablation electrode 43. The contact force sensor 53 comprises by
a radiofrequency receiver transmitter combination (not shown in
FIG. 2). In this embodiment the receiver is proximal to the
transmitter. However, they may be disposed in the opposite order.
The contact force sensor 53 forms a deformable coupling member
within the distal portion 41. The two part implementation
simplifies assembly of a magnetic field generator and magnetic
position sensor into the member.
The assembly 109 is typically covered by a flexible plastic sheath
87. When catheter 69 is used, for example, in ablating endocardial
tissue by delivering radio-frequency electrical energy through
electrode 89, considerable heat is generated in the area of distal
tip 49. For this reason, it is desirable that plastic sheath 87
comprises a heat-resistant plastic material, such as polyurethane,
whose shape and elasticity are not substantially affected by
exposure to the heat. Most importantly, plastic sheath 87 serves to
keep blood out of the interior of the catheter.
As best appreciated in FIG. 3, the contact force sensor 53
comprises a paired radiofrequency transmitter and receiver. The
receiver is a set of three coils 94, optionally provided with
internal ferrite cores 111 for signal enhancement. The coils 94
face a transmitting coil 113, which is a single frequency loop
antenna that emits radiofrequency signals that are received in the
coils 94. The three coils 94 generate signals from the incident
radiofrequency radiation produced by transmitting coil 113. The
amplitude of the received radiofrequency signals varies generally
inversely with the distance between the coils 94 and the
transmitting coil 113, and thus provides a measure of the contact
force-dependent deformation of the helix 63. As will be seen from
the description of the embodiments below, the transmitter and the
receiver can be implemented respectively as planar printed circuit
boards (PCBs). This reduces the overall size of the contact force
sensor 53.
The assembly 109 comprises localizer coils 115 that function as a
location detector by generating position-dependent signals from
incident RF radiation produced by external field generating coils
28 (FIG. 1). The field generating coils 28 (typically nine) are
fixed in a location pad that is positioned beneath a patient. The
localizer coils 115 are circumscribed by the three coils 94.
In some embodiments the signals received in the three coils 94--may
be distinguished by using different frequencies in the transmitting
coil 113. Analysis of the force-dependent signals gives the
magnitude of the force on the distal tip. The analysis may also
reveal the orientation of the distal tip with respect to the axis
of the proximal end of the helix 63, i.e., the amount of bending of
the helix 63 about axis of symmetry 51.
A fuller description of a force sensor using these components is
given in PCT Patent Document WO96/05768 of Ben Haim, commonly
assigned U.S. Patent Application Publications No. 2011/0130648 and
2009/0093806 and commonly assigned application Ser. No. 14/974,731,
which are herein incorporated by reference.
Reference is now made to FIG. 4, which is an elevation of the
distal portion of a cardiac catheter 117 in accordance with an
embodiment of the invention. The catheter 117 has an ablation
electrode 119 at its distal end, and a resilient contact force
sensor assembly 121 that includes a contact force sensor. Visible
are a plastic sheath 123 that extends to the proximal portion of
the ablation electrode 119. A deformable joint having a helical
spring 125 is formed as a cut-out in tubular plastic material 127.
A localizer coil 129 is disposed proximal to the spring 125. The
transmitter and receiver shown in FIG. 3 are present, but not seen
in FIG. 4.
Second Embodiment
Reference is now made to FIG. 5, which is a magnified view of an
assembly 131 in the distal portion of a cardiac catheter in
accordance with an alternate embodiment of the invention. The
assembly 131 is similar to the assembly 121 (FIG. 3), except now a
nitinol spring 133 is employed in the deformable joint of the
contact force sensor. Plastic sheath 135 covers the spring 133. The
spring 133 slides with respect to the sheath 135. The inner
diameter of the sheath 135 is larger than the outer diameter of the
spring 133. Edges of the receiving coils 137 and transmitting coils
141 are seen beneath the spring 133. A magnetically permeable
material 139 resides on top of both transmitting and receiving
coils.
Third Embodiment
Reference is now made to FIG. 6, which is a schematic sectional
view of the distal end of a catheter 143 in accordance with an
alternate embodiment of the invention. In this embodiment the
deformable joint includes an assembly 145 contains two flat spring
coils 147. Typically the assembly 145 has a diameter of 2.5 mm and
a length of 1 mm. Transmitter 91 and receiving coils 94 of receiver
93 are disposed on opposite sides of the assembly 145, and may
comprise printed circuit boards. Conductors 95, 97 supply the
transmitter 91 and receiver 93.
Reference is now made to FIG. 7, which is an exploded view of the
assembly 145 (FIG. 5) shown in slight perspective in accordance
with an embodiment of the invention. The assembly 145 has a
transmitter retainer 149 and a receiver retainer 151. The
transmitter 91 and receiver 93 (not shown in FIG. 6) may be
attached to these retainers. The transmitter retainer 149 and
receiver retainer 151 respectively mate with external edges of a
first flat spring coil 153 and a second flat spring coil 155. The
flat spring coils 153, 155 are held apart by a spacer 157, which
mates with internal edges of the flat spring coils 153, 155. The
flat spring coils 153, 155 deform in response to a compressive
force that urge the transmitter retainer 149 and the receiver
retainer 151 toward one another as indicated by arrows 159 in FIG.
6. The flat spring coils 153, 155 return to a resting state when
the compressive force is removed.
The flat spring coils 153, 155 can be mass produced to reduce unit
cost. The designs can be cut, stamped, or otherwise formed from
planar sheet metal such as flat nitinol sheet and may be shape-set
into their final forms. Minimizing thickness of the elastic portion
of the spring is important in cardiac catheters, as the transmitter
retainer 149 and receiver retainer 151 are at opposite ends of the
contact force sensor, separating the transmitter 91 and receiver
93. (FIG. 5). The transmitter 91 and receiver 93 are separated by a
distance in the range of 0.1-1.5 mm. Moreover, by laser-cutting the
sheet metal into a pattern, no welds are necessary, which keeps
unit cost low, as well as improving reliability relative to
conventional welded springs.
Further details of techniques for manufacturing spring coils that
are suitable, mutatis mutandis, for the flat spring coils 153, 155
are disclosed in commonly assigned, copending Application Ser. No.
15/347,242, entitled "Coils Formed in Folded Nitinol Sheet", whose
disclosure is herein incorporated by reference.
As in the previous embodiment, the assembly 145, the transmitter 91
and the receiver 93 may be constructed as an integral module with
an electrical connection between the transmit and receive
section.
Fourth Embodiment
In this embodiment, the transmitter and receiver are planar
structures attached to opposite ends of a flat spring coil. The
distance between the transmitter and receiver varies as the spring
coil deforms and relaxes. Reference is now made to FIG. 8, which is
top view of a planar assembly 161 in a contact force sensor with
integrated location coils in accordance with an embodiment of the
invention. The assembly 161 can be mounted at either end of a flat
spring coil (not shown), and has electronic circuitry 163 arranged
formed as a circuit board, and configured as a transmitter or a
receiver. The circuit board can be covered with a material having
high magnetic permeability in order to improve magnetic alignment.
The material can be mu-metal, for example, in the form of
trapezoids that conform to the shape of the circuit board. The
electronic circuitry 163 that is connected to three coils 165
circularly arranged at 120 degree angles. In this example the coils
165 are used as receiving coils.
The arrangement for transmitting coils is similar. When the coils
165 are used as transmitting coils, the transmitter comprises three
individual transmitters. From the description below, it will be
seen that the transmitting coils align with respective receiving
coils, which increases the accuracy of the readings of the contact
force sensor. The three transmitting coils may be connected so that
they are either in series and can be powered with one AC generator
or are in parallel where they can be run at different frequencies
by different AC generators.
Also shown are optional windings 167. The windings 167 are
components of the positioning sub-system noted in FIG. 1, which is
outside the scope of this disclosure.
Reference is now made to FIG. 9, which is an oblique view of a
spring assembly 169 in accordance with an embodiment of the
invention. Three planar transmitting coils 171 oppose receiving
coils 173 on opposite ends of a compressible spring 175 arranged as
in a helix having at least three windings and flat surfaces.
Reference is now made to FIG. 10, which is a side elevation of the
assembly 169 in accordance with an embodiment of the invention. The
transmitting coils 171 and receiving coils 173 are flexible, and
remain applied to the upper and lower flat surfaces 177, 179 of the
spring 175 as the spring deforms responsively to compressive force
acting against upper and lower legs 181, 183. The terms "upper" and
"lower" are used arbitrarily herein to distinguish opposite
directions. These terms have no physical meanings with respect to
the actual configuration of the assembly 169.
It will be appreciated by persons skilled in the art that the
present invention is not limited to what has been particularly
shown and described hereinabove. Rather, the scope of the present
invention includes both combinations and sub-combinations of the
various features described hereinabove, as well as variations and
modifications thereof that are not in the prior art, which would
occur to persons skilled in the art upon reading the foregoing
description.
* * * * *
References